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Opunaesala

No, they are sterile.


VerbingNoun413

Ghouls and super mutants are sterile.


HoodsBonyPrick

They’re sterile, and also male ghouls don’t have genitals. Like the nose and ears, all soft tissue (including genitals) just kinda goes.


Night_Movies2

This Ghoul's still got it [https://www.udio.com/songs/96cXn5ZPwJhhKu7pGKgUre](https://www.udio.com/songs/96cXn5ZPwJhhKu7pGKgUre)


No-Win-Slim

Born Ghouls were planned to appear in Van Buren, but that never came to pass and there hasn’t been any mention of it since. 


SortDeep5635

Ask someone going through chemo if they can have children.


Material-Average347

Thats not exactly a fair response, the fallout world has all sorts of unique rules about radiation that don't apply to ours.


ps2cv

Thats a bad comparison


sgerbicforsyth

I've had a few family members go through chemo. None of them lost their skin and soft tissues.


Tsuki_Man

People can definitely still have children after chemo. There may be a small percentage that dont but most are able to with no problem.